Eye Health Northwest Optical, LLC

NPI #1043292220 in Troutdale, Oregon

Provider Information

NPI Number
1043292220
Entity Type
Organization
Organization Name
Eye Health Northwest Optical, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Nov 15, 2005
Last Updated
Sep 17, 2008

Practice Location

Address
24601 SE STARK ST
State
Oregon
ZIP Code
97060-3355
Phone
(503) 667-2431

Authorized Official

Name
DR. ROBERT WELLS BENTLEY, MD
Title
PRESIDENT
Phone
(503) 557-2020

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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